| NPI | 1740591833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 66471) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY TP374) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2020-09-09 |